Urinary tract infection as cause of a septic miscarriage and disseminated intravascular coagulation – case report and literature review

Abstract

Urinary tract infection (UTI) is one of the most common bacterial infections which affectis 150 million people worldwide annually. Pregnant women are particularly vulnerable to UTIs. Untreated asymptomatic bacteriuria in pregnancy can develop into an acute state, leading to serious complications, such as sepsis, pulmonary oedema, acute respiratory distress syndrome, anaemia, spontaneous miscarriage, or preterm labour. All bacteriuria in pregnancy should be treated, and antibiotic choice in pregnancy should reflect safety for both the mother and the foetus. The case is presented of a 37-year-old woman in 20 Hbd pregnancy who was transferred to an Intensive Care Unit due to right-side renal colic symptoms caused by urinary tract obstruction. Despite immediate treatment, the next day, septic miscarriage and disseminated intravascular coagulation (DIC) occurred.